Permits to work · Extended permits · used by 2 trades
KD-PTW-RA-030
Controlled Area Permit — Ionising Radiation
Entry to and work in a controlled or supervised area — issued by the RPS, RPA hold where shielding is disturbed, dose monitoring, reinstatement inspection.
3 pages · 68 fillable fields · works in Adobe Reader, Preview, Chrome, or on a phone — or complete it online in your browser and download the finished document.
Page 1 of 3 — click to enlarge
Read all 3 pages first — watermarked sample, no email Before you submit: the checklist
Statutory basis, cited on the form
- Ionising Radiations Regulations 2017 regs 17, 18 and 19
What it is not
It is not a completed document and it is not health and safety advice. You must adapt it to your site and have a competent person complete and sign it off. See why we don't say "compliant".
Format
AcroForm fillable PDF. Every field has a tooltip. Tab order follows the reading order. Works on desktop and mobile, in Adobe and non-Adobe readers.
This revision was prepared against legislation current at 10 August 2026. Revision A0. Check kubitdocs.com/revisions for the current revision before use.
More in Extended permits
11 documents
More permits to work.
This document is used by 2 trades: Radiation Shielding, Site Management & Quality System.